Active NPI
Thomas D Puleo, MD
- Pediatrics Physician
- Lyme, NH
National Provider Identifier
1073523288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD11592
- Practice address
- 5 Main St Ste 1
Lyme, NH 03768-3500 - Phone
- (401) 261-4875
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD11592 | RI | Primary |
Addresses
Primary practice location
5 Main St Ste 1
Lyme, NH 03768-3500
Mailing address
594 Hanover Center Rd
Hanover, NH 03755-4921
Phone (401) 261-4875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20503 | Other | NH | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11592 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas David Puleo, MD, LLC | Pediatrics | Past | Accepting new patients |
| Laborists for Obstetrics & Gynecology, LLC | Past | Accepting new patients | |
| The Miriam Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Cranston, RI
- NPI 1164599858
-
- Obstetrics & Gynecology Physician
- Cranston, RI
- NPI 1467890780
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1073523288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 HANOVER CENTER RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037554921",
"telephone_number": "401-261-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MAIN ST STE 1",
"city": "LYME",
"state": "NH",
"postal_code": "037683500",
"telephone_number": "401-261-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "THOMAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD11592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "20503",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyme, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.